Kang, Song K

Kang, Song K is an individual health care provider with primary practice located at 3000 Coliseum Dr , Hampton VA 23666-5963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kang, Song K can be contacted via phone (757) 827-2430.

Contact Information

Primary practice address
3000 Coliseum Dr Hampton VA 23666-5963
Fax: (757) 827-2432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0101240742 Virginia

Profile Details

NPI number 1407827785
LBN Legal business name Kang, Song K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407827785 NPPES
Virginia Other 10016790 OPTIMA
Virginia MEDICAID 010386314 OPTIMA

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